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    OpenPayerNPI Medicare & MedicaidPublic Health Management Corporation
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    Public Health Management Corporation — Billing Profile & Reimbursement Data

    NPI 1598156804 · Philadelphia, PA · Federally Qualified Health Center (FQHC)

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    Public Health Management Corporation is a federally qualified health center (fqhc) provider located in Philadelphia, Pennsylvania. This profile covers 0 Medicare and 60 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeOrganization
    OrganizationPublic Health Management Corporation
    Address216 W Somerset St
    CityPhiladelphia
    StatePA
    ZIP19133
    TaxonomyFederally Qualified Health Center (FQHC)
    NPI EnumeratedFebruary 9, 2015

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicaid$7.3M
    Medicare$0

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

    Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

    60 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    T1015Clinic visit/encounter, all-inclusive24,410$300$7.3M
    0011AN/A340$30$9.2K
    0012AN/A230$30$7K
    0002AN/A200$30$5.5K
    0001AN/A230$20$5.4K
    3074FNo Summary found for this code2,150$1$2.2K
    3078FNo Summary found for this code1,970$1$2K
    0003AN/A70$30$1.8K
    3079FNo Summary found for this code1,210$1$1.2K
    0013AN/A40$30$1.1K

    Showing 1–10 of 60

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other Pennsylvania providers billing the same CPT/HCPCS codes.

    Full comparison — all codes billed, vs. Pennsylvania median

    60 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    T1015Clinic visit/encounter, all-inclusive1271,690760$170$1.2M
    87536A lab tests a patient’s specimen to measure the amount of HIV–1 present. This may be referred to as viral load.3030420$80$110.9K
    87491The lab analyst performs a test for Chlamydia trachomatis using amplified nucleic acid probe technique.121220420$20$91.1K
    80053The lab analyst performs a comprehensive metabolic panel, or CMP test in which he measures the blood level of 14 chemicals the code descriptor lists for the panel.1693402,320$10$88.6K
    87591The lab analyst performs a lab test for Neisseria gonorrhoeae, also called GC, using amplified nucleic acid probe technique.148220430$20$84.7K
    80050The lab analyst performs testing for the specific group of clinical laboratory procedures in the general health panel. Payers typically consider 80050 to apply only when the clinician orders the…155170560$40$84.2K
    99214The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…5008,160210$60$68.4K
    84443The lab analyst performs a test to measure the amount of thyroid–stimulating hormone (TSH), a hormone produced in the pituitary gland that helps regulate thyroid function. The typical specimen is the…92260690$10$57.9K
    99213The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…3418,870240$40$56.1K
    87389The lab analyst performs a test to screen for human immunodeficiency virus, called HIV. The test screens for antigens of the HIV 1 virus and antibodies to the HIV 1 and HIV 2 viruses using an…39150300$20$51.9K

    Showing 1–10 of 60

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Public Health Management Corporation, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Public Health Management CorporationPAFederally Qualified Health Center (FQHC)$0$11.8M
    Public Health Management CorporationPAFederally Qualified Health Center (FQHC)$0$11.3M
    Public Health Mangement CorporationPAFederally Qualified Health Center (FQHC)$0$9.3M
    Public Health Management CorporationPAFederally Qualified Health Center (FQHC)$0$9.2M
    Philadelphia Health Management CorporationPACommunity/Behavioral Health Agency$0$6.8M
    Joseph KenneyPACardiovascular Disease Physician$59.7K$350

    Nearby Providers

    Other providers in the same ZIP code as Public Health Management Corporation, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Delaware Valley Community Health, Inc.PAFederally Qualified Health Center (FQHC)$0$28.7M
    Ahpaffs,llcPAUrgent Care Clinic/Center$0$14.2M
    Asociacion De Puertorriquenos En Marcha, Inc.PAMental Health Clinic/Center (Including Community Mental Health Center)$0$14.1M
    Open Arms Home Care IncPAIn Home Supportive Care Agency$0$9.1M
    Delaware Valley Community Health, Inc.PAFederally Qualified Health Center (FQHC)$0$6.8M
    Rafael CollazoPAOptometrist$41.3K$357.2K
    Christian SantanaPAGeneral Practice Dentistry$384.6K$0

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicaid Revenue by Year vs. Pennsylvania Providers
    3 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Pennsylvania Distribution
    Public Health Management Corporation — 2 of 18 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Pennsylvania